Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Lawyer’s Bar Number:
Licensed Fiduciary Number: ____________________________________
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
In the Matter of the Estate of:
Case Number PB:
DECLARATION OF COMPLETION
OF TRAINING for
A Deceased or Protected Person
NON-LICENSED FIDUCIARIES
Rule 27.1 of the Arizona Rules of Probate Procedure requires that a person to be appointed guardian,
conservator, or personal representative of an estate, who is neither a state-licensed fiduciary nor a
corporation, complete a training program approved by the Supreme Court of this state before permanent
Letters of Appointment are issued, or within 30 days of a temporary or emergency appointment.
UNDER PENALTY OF PERJURY
I state to the Court that in accord with Rule 27.1 of the Arizona Rules of Probate Procedure,
I have completed the required training for non-licensed, non-corporate fiduciaries, as
indicated below: (Check all that apply and provide applicable information.)
Unlicensed Fiduciary
Date completed:
Conservatorship
Date completed:
Personal Representative
Date completed:
Guardianship
Date completed:
Date:
Signature
Printed Name
FOR CLERK’S USE ONLY
INSTRUCTIONS: Fill out this Declaration completely and provide accurate information. Make at least
one copy. You will need to file the original with the Clerk of Court and provide a copy to the Probate
Registrar before receiving any permanent letters of appointment.
©Superior Court of Arizona in Maricopa County Page 1 of 1 PBDT10f-072017
ALL RIGHTS RESERVED